When Piraye Beim went to her first OBGYN visit more than two decades ago, she got a pap smear and an earful about avoiding STDs. She didn’t learn in that visit that the fact she was having excruciating periods as a teenager might mean she could have trouble conceiving later in life. She definitely didn’t hear the words “reproductive health” come out of her doctor’s mouth. Like nearly 10 percent of women, Beim has lived with endometriosis her whole adult life.

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